BMCH2016-0257*{� t Q.�i yaw
78-495 CALLE TAM PICO D
LA QUINTA, CALIFORNIA 92253 COMMUNITY. DEVELOPMENT DEPARTMENT
BUILDING PERMII-T
Application Number:
BMCH2O16-0257
Property Address:
78275 DESERT FALL WAY
APN:
770031033
Application Description:
HOM ANS RESIDENCE / HVAC CHANGE OUT
Property Zoning:
Application Valuation:
$6,876.00
Applicant:
TIMO'S AIR CONDITIONING
& HEATING INC
72232 CORPORATE WAY
THOUSAND PALMS, CA 92276
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: _ License No.: 920062 r
D�--,- CoC n� or:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the,
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(� I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
(� I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State License law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
( I I am exempt under Sec. . B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Na
Lender's Add
D � 0
Owner:
EJUI
LL 13 HQf y HOM
_ 78275 DI`ESl
CITY OF LA QOiLANQtJfi&,
COMMUNITY DEVELOPMENT DEPARTMENT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
FALL WY
92253
Date: 7/13/2016
Contractor:
TIMO'S AIR CONDITIONING & HEATING INC
72232 CORPORATE WAY
THOUSAND PALMS, CA 92276
(760)770-4357
Llc. No.: 920062
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and polity number are:
Carrier:- Policy Number: _
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
-1-7-
VOICE-(760)
13 -
Applicant:
WARNING: FAILURE TOS CECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN, EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned propeV for inspection purposes.
Dated/_13 4gnature_(Appl�'Agent)
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306
0
$1.00
$1.00 7/13/16
PAID BY `: METHOD
RECEIPT #.
CHECK # CLTD BY
TIMO'S AIR CONDITIONING & HEAT CHECK
R17072
20727 MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM
101-0000-42402
0
$72.52
$72.52
7/13/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
TIMO'S AIR CONDITIONING & HEAT
CHECK
R17072
20727.
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - SPLIT -SYSTEM PC
101-0000-42600
0
$36.26
$36.26
7/13/16
PAID BY _
METHOD
RECEIPT #
CHECK #
CLTD BY
TIMO'S AIR CONDITIONING & HEAT
CHECK
R17072
20727
MFA
Total Paid for CHANGEOUT: $108.78 $108.78
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-02404
0
$91.85
$91.85
7/13/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
TIMO'S AIR CONDITIONING.& HEAT
CHECK
R37072.
20727
MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:
Description: HOMANS RESIDENCE / HVAC CHANGE OUT
Type: MECHANICAL Subtype: Status: APPROVED
Applied: 7/13/2016 MFA
Approved: 7/13/2016 MFA
Parcel No: 770031033 Site Address: 78275 DESERT FALL WAY LA QUINTA,CA 92253
Subdivision: TR 28019 Block: Lot: 34
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $6,876.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: HVAC CHANGE OUT -14 SEER/80AFUE SPLIT SYSTEM [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO
FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
'STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
TIMO'S AIR CONDITIONING &
HEATING INC
72232 CORPORATE
WAY
THOUSAND
PALMS
CA
92276
(760)610-3028
CONTRACTOR
TIMO'S AIR CONDITIONING &
HEATING INC
72232 CORPORATE
WAY
THOUSAND
PALMS
CA
92276
(760)610-3028
OWNER
WEST HOMANS
78275 DESERT FALL WY
LA QUINTA
CA
92253
(760)610-3028
FINANCIAL INFORMATION
Printed: Wednesday, July 13, 2016 3:19:23 PM 1 of 2 ,.
SYSTEh1S
INSPECTIONS
BOND INFORMATION
Printed: Wednesday, July 13, 2016 3:19:23 PM 2 of 2
_ SYSTEMS
TD
CLY
DESCRIPTION
ACCOUNT •
QTY
AMOUNT
PAID
PAIDDATE,
RECEIPT#
CHECK#
METHOD
PAID BY
'B Y .
TIMO'S AIR
BSAS SB1473 FEE.
101-0000-20306
0
$1.00
$1.00
7/13/16
R17072
20727
CHECK
CONDITIONING &
MFA
HEAT
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
TIMO'S AIR
HVAC CHANGEOUT -
101-0000-42402
0
$72.52
$72.52
7/13/16'
R17072
20727
CHECK
CONDITIONING &
MFA.
SPLIT -SYSTEM
HEAT
TIMO'S AIR
HVAC CHANGEOUT -
101-0000-42600
0
$36.26
$36.26
7/13/16
R17072
20727
CHECK
CONDITIONING &
MFA
SPLIT -SYSTEM PC
HEAT
Total Paid for CHANGEOUT: $108.78 $108.78
TIMO'S AIR
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
7/13/16
R17072
.20727
CHECK
CONDITIONING &
MFA
HEAT
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:i
INSPECTIONS
BOND INFORMATION
Printed: Wednesday, July 13, 2016 3:19:23 PM 2 of 2
_ SYSTEMS
Bin #
City of La Q uth tot!1
Telephone; Construction Type: Occupancy:
l Project type (circle one): New. Add'n Altcr Repair Demo
State Lic- #: :.
Name of Contact Person: Sq. Ft.: # Stories: # Unim
C
Bul/ding 8r Safety Division
APPLICANT: DO NOT WRITE BELOW THIS LINE
.
Permit #
P.O. Box 1504, 78-495 Calfe Tampico .
La Quinta, CA 92253, (760) 777-7012
Req'd
Building Permit Application and Tracking Sheet
Project Address: �j7t
Owner's Name:
A. P. Number;
Address: ilk
Legal Description
City, ST, Zi
Item
Contractor: J Tn:�—t)•v
c7el Tcicphonc: �(
Structural Calc;.
Address cy� ,ra
id : Project Description:
Reviewed, ready for corrections
City, ST,
Plan Check Deposit
Telephone: X46'
Truss Cales.
State Lie. # : Q
City Lie. #:
Plan Check Balance.
Title 24 Cates.
Arch., Engr., Designer
Flans picked up
Address:
City, ST. Zip=
Telephone; Construction Type: Occupancy:
l Project type (circle one): New. Add'n Altcr Repair Demo
State Lic- #: :.
Name of Contact Person: Sq. Ft.: # Stories: # Unim
Telephone #,of Contact Person:
Fstimated Value of Project: --
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKNG
FE
P �T ES
Plan Sets
Play Check submitted
Item
Amount
Structural Calc;.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Flans picked up
Construction
Flood plain plan
flans resubmitted
Mechanical
Grading plan
V Review, ready for corrcctionsliissue
Electrical
Subeontaeror List
Called Contact Person
Plumbing
Grant Peed
Plans picked up
S.?4.L
I1,04 Approval
Plans resubmitted
Grading
IN HOUSE--
s'' Review, ready fqr correctionshssue
Developer impact Fee
Planning Approval
Called Contact Person
• A.LP.P.
Pub. Wks. Appr
Date of permit issue
Schodl Fces
Total Permit
r
:ERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Mterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 1 of 31
Project Name: West Homans Date Prepared: 2016.07-17
A. General Information
MR -ALT -02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented,
use one CF111-ALT-02 document for each dwelling unit.
01 Project Name
West Homans
02
Date Prepared
2016-07-12
03 Project Location
78275 Desert Fall Way
04
Building Type
Single family
05 GA City
La Quinta
06
Dwelling Unit Name
West Homans
07 Zip Code
92253
08
Dwelling Unit Conditioned
1533
SC System
y24
c tem a��«
Floor Area (ft2)
«!nstalling news
01 sta11ing I
t
Installing
Number of space conditioning
Identification or
09 Climate Zone
15
10
(SC) systems In this dwelling
1
w. ^�
.. .....I
entirely new
unit.
Name
B. Space Conditioning (SC) System Information ""�.
r . .r 1" epi €
01
02
ji 1 X03-?'
041k
^Oil W
rd6M
11 &NN
OII 11
09
10
;7.-
Is the SC'°"'
`Installing a14—
`
w
SC System
SC System
"CFA sgrved
c tem a��«
ref igerant
«!nstalling news
01 sta11ing I
lips "IFF
Installing
Identification or
Location or Area
by this SC
ducted
containing
System
more than 40
entirely new
entirely new
Name
Served
System (ft2)
fystem?
component?
components?
feet of ducts?
duct system?
SC System?
Alteration Type
System 1
Location 1
1533
Yes
Yes
Yes
No
No
No
Altered space
conditioning system
:. Extension of Existing Dud System, Greater Than 40 Feet (Section 150.2(b)IDiib)
This section does not apply to this project.
Registration Number: 216-AO2584COA-000000000-0000 Registration Date/Time: 2016-07-1217:10:41 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-12 17:11:08
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 )
D. Altered Space Conditioning System (Sections 1S0.2(b)lE and F)
01
02
03
04
0S
06
07
08
09
30
11
12
Heating
Cooling
System
Heating
Altered
Heating
Minimum
Altered
Cooling
Minimum
Required
New or
Identification
System
Heating
Efficiency
Efficiency
Cooling
Cooling
Efficiency
Efficiency
Thermostat
Replaced
New Duct
or Name
Type
Components
Type
Value
System Type
Components
Type
Value
Type
Duct Length
R -Value
Central gas
All new
Central split
All new
This field or
This field or
System 1
furnace
heating
AFUE
80
AC
cooling
SEER
14
Setback
section is not
section is not
components
components
applicable
applicable
Required Documentation:
CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans
-Duct Insulation requirement for new plenums: R6.,.
CF2R-MCH-20-H & MR -MCH -20-H — Duct Leakage testing required when heating or cooling components are Installed in ducted systems, or when more than 40 ft of duct length Is replaced.
-Leakage rate compliance: s 15%, or s 10% leakage to outside, or seal all accessible leaks.
CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered (applicable In CZ 2, 8-15).
CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2t 300 CFM/ton required when MCH -2S is required.
Exceptions:-
-Duct systems registered with HERS provider as previously sealed are exempt from.MCH 20 Duct Leakage Testing requirements .,y
-Heating-only systems and Air Handler/Furnace changes do not, require venfitatlon of Air Flow xMCW23 or'Refrigerani Cha�tge MECN=25.
0
-Existing duct systems constructed, insulated or sealed with asbestosore exempt from MCH-200uct Leakage Testting requii'emebtts
,-w xL fF OF @'k.
E. Entirely New or Complete Replacement Duct`Sys em, with or wIthoutJEq dpment Chang ut (Se ions-1S0.2(b)13Dii nd•-14 0.2(b)lE, F)
�*
This section does not apply to this project.
F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C)
This section does not apply to this project.
Registration Number: 216-AO25840OA-000000000-0000 Registration Date/time: 2016-07-12 17:10:41 HERS Provider: CaICERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-12 17:11:08
Schema Version: 0.555SDD
CERTIFICATE OF COMPLIANCE CF1R-AtT�02-EAlterations to Space Conditioning Systems (formerly CF-IR-ALT-HVAC)(Page
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: i/r� ��
Timo , Joseph
Company:
Signature Date:
TIMO'S AIR CONDITIONING & HEATING INC
2016-07-12 17:10:41
Address:
CEA/ HERS Certification Identification (if applicable):
72-067 NORTHSHORE STREET STE A
City/State/Zip:
Phone:
THOUSAND PALMS CA 92276
760-770-4357
Responsible Person's Declaration statemenf�
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this. Certificate of Compliance is true and correct.
2. I am eligible under Division 3bf the;ausinessand Professions Code to acceptrespdrisiblllty for the building design or system design identified an this Certificate of Compliance (responsible designer).
3. That the energy features and performance specifications, materials, corgpoents, and manufactured devices for the WWI design or system design identified on this Certificate of Compliance conform to the
requirements of Title 24, Pentland Part 6 of the California Code of guretions. ;
4. The building design features or system design features identified on this CertiRcate of Compliance dre consistent-with.the informatran- rovided an dthev ppllcable w pllance documents, worksheets,
.�+.' s t x-•.,.„, • a s
calculations, plans and specifications submitted to the a OrceinentTMagency for�`apprcva(with this builolltne permit ap icatlo
S. I will ensure that a registered copy of this CertiftcatQf�f tnpllanrg sllwlj bn,madS vadatile with Ihn b'Gjltiire pa-r`mit(s)ilssu d forti;h, bulldl ii, and_made avadable,0N he onfarcement agency for all applicable
JI -ding owner at occupancy.
Inspections. I understand that a registered copy of this.C�ertHicate of Compliant Lilequ)redswepe�!tgyldes tavetChUhe by,
Responsible Designer Name: r.. .'14k If�"aJ II- :�
Responbile Dessg erSgna re: V
Timo , Joseph
9.%�--7
Company:
Date Signed:
TIMO'S AIR CONDITIONING & HEATING INC
2016-07-12 17:10:41
Address: --
License:
72.067 SH RE STREET STE A
920062
City/State/Zlp:
Phone:
THOUSAND PALMS CA 92276
760-770-4357
Digitally signed byCaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information.
Registration Number: 216-A0258400A-000000000-0000 Registration Date/ me: 2016-07-12 17:10:41 HERS Provider: Ca10ERTS
CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2013 Rev 1.007 Report Generated: 2016-07-12 17:11:08
s Schema Version: 0.555SDD
' _ r